What can fix this liposuction issue? (photos)

Question

I had a BBL in late 2021 and immediately post op I noticed these dents and a little bit of fat left behind under my belly button. It never got better. I’ve cool sculpted the area multiple times. There seems to be marks left behind from the lipo as well. I had about 30 post op massages and took the best care of it that I could. What else can I do? Is the only way to fix this surgically or can I do another treatment?

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about your concerns following your Brazilian Butt Lift procedure. The first step is to schedule a consultation with your plastic surgeon to discuss your concerns and have a thorough evaluation. They will be able to assess the specific dents, fat retention, and marks left behind from the liposuction. They may also consider factors such as skin elasticity and overall body contour to determine the most appropriate course of action. Depending on the nature and severity of your concerns, there may be non-surgical treatment options to consider. In some cases, surgical intervention may be necessary to address the issues you are experiencing. This could involve a revision procedure to correct the dents, remove any residual fat, and improve the overall contour of the treated area. Your surgeon will be able to discuss the feasibility and potential outcomes of revision surgery with you.

If you remain dissatisfied after discussing your concerns with your initial surgeon, it might be beneficial to seek a second opinion from another qualified and experienced plastic surgeon. They can provide an independent evaluation of your situation and offer alternative treatment options or recommendations.

I hope this helps,
best of luck !

Darryl J. Blinski, MD · Answer

Great posted photos. You have skin laxity so liposuction can result in these irregularties. I might try a combination of Raseisse/Sculptra (10 vials/syringes @ $4,000) injection under local anesthesia first. If not successful then only 'skin only TT' can effectively improve (fee $10,000). Best to virtual or in person consult.....

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality, liposuction results is more difficult than most people realize.
Liposuction skills vary more than they do for any other plastic surgical procedure I’ve ever seen. Mastering this procedure takes years of dedication,skill and commitment.
Considering how much variation there is in Liposuction skills among plastic surgeons, patients should be extremely cautious when choosing providers. To do this, I suggest patients have multiple in person consultations before scheduling any permanent irreversible of body contouring procedure, such as Liposuction or fat transfer. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider. An experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Once done liposuction results are fairly permanent and irreversible. Correcting or improving the results of poorly done Liposuction is difficult and patients should keep expectations on the low side. Improving poorly done liposuction results is typically done with revision Liposuction, and or fat transfer. If the primary procedure was done aggressively, then it becomes more difficult to improve the outcome with revision Liposuction. Postoperative massage has no impact on liposuction results. The results are a direct reflection of only two variables. The first is the patient’s candidacy for the procedure in the first place and the second is the skill and experience of the provider. These are the primary two variables that matter when it comes to cosmetic surgical outcomes.
Revision Work is many times more difficult than primary liposuction. Considering how much variation there is an Liposuction skills among plastic surgeons, anybody seeking revision work should be extremely selective when choosing providers.
Fat transfer, sometimes can improve areas were too much fat was removed, but the procedure tends to be limited and it’s usefulness because areas needing volume are depleted of sufficient host tissue to support grafted fat, making fat grafting unreliable with unpredictable fat survival rates.
Improvements can generally always be ahead, but sometimes it might take several procedures, and in the end only modest improvements are generally possible.
Liposuction is very much one of those procedures that should be done once and done correctly. If you don’t use the right provider in the first place, it becomes very difficult to end up with the type of results you had hoped for.
I cannot emphasize enough the importance of properly vetting plastic surgeons by having multiple in person, consultations before choosing permanent, irreversible body contouring procedures.
I recommend patients have in person, consultations and avoid a virtual consultation whenever possible. I also recommend avoiding traveling long distances for elective surgical procedure, if at all possible.
The number of plastic surgeons who truly mastered liposuction and fat transfer, are in a small minority.
Best,
Mats Hagstrom, MD

Jose Segura, MD, PhD - Account Suspended · Answer

Dear, thank you for sharing your photos and the suggestion to correct the imperfections is no longer surgical, drugs can be used to improve the result and the combination with morpheus. Since it is fibrosis rather than fat deposits. I hope you consider this opinion

What can fix this liposuction issue? (photos)

Answers (4)

Answer: Alternative treatment

Answer: Alternative treatment

Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

What can fix this liposuction issue? (photos)

Answers (4)

Answer: Alternative treatment

Answer: Alternative treatment

Browse related questions

Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.